Phase 3
Completed N=199
Safety and Efficacy Study in Preschool Children Aged 4-5 Years With Attention-deficit/Hyperactivity Disorder (ADHD)
Source: ClinicalTrials.gov NCT03260205 ↗Enrolled (actual)
199
Serious AEs
0.0%
Results posted
Jan 2020
Primary outcomePrimary: Change From Baseline in Clinician-Administered Attention-Deficit/Hyperactivity Disorder Rating Scale-IV (ADHD-RS-IV) Preschool Version Total Score at Week 6 — -9.1; -14.2 Score on a scale — p=0.0242
◆ Published Evidence
Established
26citations · ~7 / year
Efficacy and Safety of Lisdexamfetamine in Preschool Children With Attention-Deficit/Hyperactivity Disorder.
Summary
The purpose of this study is to determine if an investigational treatment is effective in improving the total score on the ADHD-RS-IV Preschool Version in children 4-5 years old diagnosed with ADHD.
Linked Publications (2)
-
Efficacy and Safety of Lisdexamfetamine in Preschool Children With Attention-Deficit/Hyperactivity Disorder.
-
Individual Participant Data Meta-Analysis: Moderators of Response to Stimulants for Preschool Attention-Deficit/Hyperactivity Disorder.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Clinician-Administered Attention-Deficit/Hyperactivity Disorder Rating Scale-IV (ADHD-RS-IV) Preschool Version Total Score at Week 6 |
-9.1; -14.2 | 0.0242 sig |
| SECONDARY Clinical Global Impressions Global Improvement (CGI-I) at Week 6 |
3.4; 2.8 | 0.0074 sig |
| SECONDARY Dose Response Relationship for Change From Baseline in ADHD-RS-IV Preschool Version Total Score in Preschool Children at Week 6 |
-9.1; -15.3; -17.0; -10.8; -13.5 | — |
| SECONDARY Number of Participants With Treatment-Emergent Adverse Events (TEAEs) |
19; 13; 15; 18; 22 | — |
| SECONDARY Number of Participants With Potentially Clinically Significant Changes in Vital Signs |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Change From Baseline in Height at Week 6 |
0.7; 0.7; 0.7; 1.0; 0.5 | — |
| SECONDARY Change From Baseline in Body Weight at Week 6 |
-1.1; -1.0; -2.8; -4.8; -5.8 | — |
| SECONDARY Change From Baseline in Body Mass Index (BMI) at Week 6 |
-1.6; -0.9; -5.1; -6.7; -7.4 | — |
| SECONDARY Number of Participants With Potentially Clinically Significant Changes in Clinical Laboratory Values |
1; 0; 2; 5; 0; 1 | — |
| SECONDARY Number of Participants With Potentially Clinically Significant Changes in Electrocardiogram (ECG) Parameters |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Children's Sleep Habits Questionnaire (CSHQ) at Week 6 |
9.7; 9.4; 10.3; 10.2; 10.3; 1.7 | — |
| SECONDARY Number of Participants With a Positive Response Using Columbia Suicide Severity Rating Scale (C-SSRS) |
0; 1; 1; 1; 0 | — |
Eligibility Criteria
Inclusion Criteria
- Participant is a male or female aged 4-5 years inclusive at the time of consent
- Participant's parent(s) or legally authorized representative (LAR) must provide signature of informed consent, and there must be documentation of assent (if applicable) by the participant before completing any study related procedures.
- Participant and parent(s)/LAR are willing and able to comply with all of the testing and requirements defined in the protocol, including oversight of morning dosing.
- Participant must meet DSM-IV-TR criteria for a primary diagnosis of ADHD (any sub-type).
- Participant has an ADHD-RS-IV Preschool Version Total Score at the baseline visit (Visit 0) greater than or equal to 28 for boys, and greater than or equal to 24 for girls.
- Participant has a Clinical Global Impressions - Severity of Illness (CGI-S) score greater than or equal to 4 at the baseline visit (Visit 0).
- Participant has a Peabody Picture Vocabulary Test standard score of greater than or equal to 70 at the screening visit (Visit -1).
- Participant has undergone an adequate course of non-pharmacological treatment or has a severe enough condition to consider enrollment without undergoing prior non-pharmacological treatment.
- Participant has participated in a structured group activity (e.g, preschool, sports, Sunday school) so as to assess symptoms and impairment in a setting outside the home.
- Participant has lived with the same parent(s) or guardian for greater than or equal to 6 months.
Exclusion Criteria
- Participant is required to or anticipates the need to take any prohibited medications or medications that have central nervous system (CNS) effects or have an effect on performance. Stable use of bronchodilator inhalers is not exclusionary.
- Participant has taken another investigational product or has taken part in a clinical study within 30 days prior to the screening visit (Visit -1).
- Participant is well-controlled on his/her current ADHD medication with acceptable tolerability.
- Participant has a concurrent chronic or acute illness, disability, or other condition that might confound the results of safety assessments or may increase risk to the participant..
- Participant has glaucoma.
- Participant has failed to fully respond to an adequate course of amphetamine therapy.
- Participant has a documented allergy, hypersensitivity, or intolerance to amphetamine or to any excipients in the investigational product.
- Participant has a known family history of sudden cardiac death or ventricular arrhythmia.
- Participant has a blood pressure measurement greater than or equal to 95th percentile for age, sex, and height at the screening visit (Visit -1) or the baseline visit (Visit 0) or history of moderate or severe hypertension.
- Participant has a known history of symptomatic cardiovascular disease, unexplained syncope, exertional chest pain,advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems.
- Participant has any clinically significant clinical laboratory abnormalities at the screening visit (Visit -1) or electrocardiogram (ECG) at screening visit (Visit-1) or baseline visit (Visit 0) based on investigator judgment.
- Participant has current abnormal thyroid function, defined as abnormal thyroid stimulating hormone (TSH) and thyroxine (T4) at the screening visit (Visit -1). Treatment with a stable dose of thyroid medication for at least 3 months is permitted.
- Participant has a current, controlled (requiring medication or therapy) or uncontrolled, co-morbid psychiatric disorder including but not limited to any of the below co-morbid Axis I disorders and Axis II disorders:
i. post-traumatic stress disorder or adjustment disorder ii. bipolar illness, psychosis, or a family history of these disorders iii. pervasive developmental disorder iv. obsessive-compulsive disorder (OCD) v. psychosis/schizophre
Data sourced from ClinicalTrials.gov (NCT03260205) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.